Ozark Regional Anesthesia

LBN: Ozark Regional Anesthesia
Ozark Regional Anesthesia is an health care organization with primary practice located at 3215 N Northhills Blvd , Fayetteville AR 72703-4424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Ozark Regional Anesthesia can be contacted via phone (479) 463-1019, or through Davis, Thomas Jay via phone (918) 728-6145.

Contact Information

Primary practice address
3215 N Northhills Blvd Fayetteville AR 72703-4424
Phone: (479) 463-1019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Thomas Jay Doctor of Medicine (MD)
Phone: (918) 728-6145

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1275517468
LBN Legal business name Ozark Regional Anesthesia
DBA Doing business as
Authorized official Davis, Thomas Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275517468 NPPES
Oklahoma MEDICAID 100728380A
Oklahoma MEDICAID 135928002

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